title: Pacemaker lead perforation causing hemopericardium eight years after implantation.
abstract: The number of patients with intracardiac devices, including permanent pacemakers and implantable cardioverter-defibrillators is increasing. Lead perforation is a recognized complication which most often occurs during or shortly following pacemaker implantation. Late lead perforation occurring over 30 days after device insertion is a rare, potentially life-threatening complication. We present a case of late lead perforation unmasked greater than eight years after pacemaker implantation by initiation of anticoagulation.
authors.affiliation: Department of Medicine, Mayo Clinic, Rochester, MN, USA.
authors.forename: Jackson J
authors.initials: JJ
authors.lastname: Liang
authors.forename: Ammar M
authors.initials: AM
authors.lastname: Killu
authors.forename: Michael J
authors.initials: MJ
authors.lastname: Osborn
authors.forename: Allan S
authors.initials: AS
authors.lastname: Jaffe
mesh_terms: D000368:Aged; D000925:Anticoagulants / Q000627:therapeutic use; D004567:Electrodes, Implanted / Q000009:adverse effects*; D004868:Equipment Failure; D006801:Humans; D008297:Male; D010138:Pacemaker, Artificial; D010490:Pericardial Effusion / Q000209:etiology*; D013997:Time Factors; D020246:Venous Thrombosis / Q000188:drug therapy; D014859:Warfarin / Q000627:therapeutic use
chemical_list: D000925:Anticoagulants; D014859:Warfarin